Organization
LAKE HOUSE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON LANEY (EXECUTIVE DIRECTOR)
(828) 355-4595
Entity
Organization
Contact information
Practice address
447 LILLY PAD LN, FLAT ROCK, NC 28731-9503
(828) 355-4595
Mailing address
447 LILLY PAD LN, FLAT ROCK, NC 28731-9503
(828) 355-4595
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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